Revised November 2010
ANNUAL FACULTY ACTIVITIES SUMMARY
To be completed by the faculty member as a report of activity during a calendar year.
Name: _______________________________
Dept: ________________________________
Rank: ______________________________
Calendar Year: __20_____
I. TEACHING
A. List courses (list multiple sections of the same course), semester taught, number of credit hours, enrollment, if taught for the first
time, and the number of peer reviews.
Course
Semester
Credit Hours
Enrollment
First Time?
# Peer Reviews
B. Duties on M.A./M.S. committees. List:
Name of Student
Chair or Committee Member
Date Started
Date Completed
C. Senior Assignment Supervision / Independent Study List:
Name of Student
Your Role
Date Started
Date Completed
D. Interdisciplinary Teaching and Freshman Seminar
E. New courses and/or programs formally proposed/accepted (indicate which) for future offering:
F.
New courses taught and major alterations of existing courses:
G. Professional development in teaching (conferences, institutes, workshops, courses, programs of reading, etc):
H. Other major accomplishments as a teacher.
II. SCHOLARSHIP
A. Peer-reviewed product (list peer-reviewed publications and other peer-reviewed product):
Peer-Reviewed Item (book, paper,
book, review, exhibit, performance etc)
B. Non-peer-reviewed product
Title or brief description
Date Published/Executed
Non-peer-Reviewed Item (book, paper,
book review, exhibit, performance etc)
Title or brief description
Date Published/Executed
C. Presentation of Scholarship (papers, exhibitions, performances, etc)
Conference or other venue
Date
Level (international, National, Regional,
Local)
Presentation Peerreviewed?
D. Other scholarly items accepted for publication or presentation: (give title, type of scholarly item, i.e., article, book, paper, etc.,
date and place accepted, tentative publication or presentation date. Indicate if invited, refereed, or non-refereed.)
E. Other scholarly items submitted for publication: (give title, type of item, i.e., article, book, paper, etc., date and place submitted.
Indicate if invited, refereed, or non-refereed.)
F. Scholarship in progress: (give title of project and a brief summary of activity for the period. Please note if the scholarship is
supported by a specific SIUE or external grant.)
G. Grants, Contracts, and Patents
1. External grant / contract received (amount, title, donor, date of notification, duration of award, research time received)
2. Internal grant received (amount, title, donor, date of notification, duration of award, research time received)
3. Grant and/or contract applications submitted (type, agency)
4. Patent (number, date granted)
H.
Other scholarship-oriented activities or honors.
III. SERVICE (Department, College, University, Community, and Professional)
Role
Title or brief description
Est. hours
per month
Dates
Level (Departmental, College,
University, Community, Professional)
IV. SUPPORT FOR THE CAS STRATEGIC PLAN (please briefly describe major ways you have supported the plan).
V. VARIA Anything not considered in Sections I through IV
VI. GOALS
1. Goals from the previous year (Calendar year _20_____) Please include the list of goals from your faculty activities summary from
last year, and indicate how/whether each goal was achieved. The percentages of effort should also be taken from your previous faculty
profile form.
A. Teaching
(% of effort:
)
B. Scholarship
(% of effort:
)
C. Service
(% of effort
)
2. Goals for the coming year (Calendar year _20_____) Please list your goals for the coming calendar year and indicate what
percentage of effort you anticipate spending towards meeting those goals.
A. Teaching
(% of effort:
)
B. Scholarship
(% of effort:
)
C. Service
(% of effort
)